Abstract：Objective To study influence of mother and baby ending in the uterine-incision delivery late broken umbilicus. Methods Clinical data of 100 cases of uterine-incision delivery puerpera in Haikou Hospital of the Maternal and Child Health from July to November 2017 were retrospectively analyzed，and they were divided into two groups according to whether delayed cord clamping or not, control group and detection group, 50 cases in each group. The third stage labor, postpartum hemorrhage volume, postpartum 72 h hemoglobin, 24 h capillary hemoglobin after birth, the Apgar score 1 min after birth, the Apgar score 5 min after birth, neonatal bilirubin peak, peak time, complication rate of two groups were detected. Results The third stage labor, postpartum hemorrhage volume of detection group were lower than those of the control group，the postpartum 72 h hemoglobin was higher than that of the control group， the neonatal bilirubin level, neonatal bilirubin peak of detection group were higher than those of the control group, the differences were statistical significance (P < 0.05). The complication rate of two groups had no statistically significant difference (P > 0.05). Conclusion The uterine-incision delivery late broken umbilicus, which can decrease the third stage labor, postpartum hemorrhage volume, improve neonatal mass, acquire good mother and baby ending.
吴燕 李会英▲ 康岚 史春 符爱贞 郭仁妃 张宏玉. 剖宫产术中晚断脐对母婴结局的影响[J]. 中国医药导报, 2018, 15(8): 80-83.
WU Yan LI Huiying▲ KANG Lan SHI Chun FU Aizhen GUO Renfei ZHANG Hongyu. The influence of mother and baby ending in the uterine-incision delivery late broken umbilicus. 中国医药导报, 2018, 15(8): 80-83.
[1] 邓华艳，王波，郑琳，等.两种晚断脐时机对母儿结局的影响[J].护理学报，2013，20（2B）：53-55.
[2] Mercer JS，Vohr BR，McGrath MM，et al．Delayed Cord Clam ping in Very Preterm Infants Reduces the Incidence of Intraven trieular Hemorrhage and Late-onset Sepsis：a Randomized，Controlled Trial [J]. Pediatrics，2006，117（4）：1235-1242．
[3] 王波，王浪，贺英英.晚断脐对早产儿结局的影响[J].中国当代医药，2015，22（14）：92-93，96.
[4] Hutton EK，Hassan ES． Late Vs Eady Clamping of the Umbilical Cord in Fu11-term Neonates：Systematic Review and Meta-analysis of Controlled Trials [J]. JAMA，2007， 297（11）：1241-1252
[5] 黄建辉，袁秋影.新生儿晚断脐联合自然干燥法的护理效果[J].护理学报，2014，10（9）：42-44.
[6] 邵肖梅，叶鸿瑁，丘小汕．实用新生儿学[M].4版．北京：人民卫生出版社，2011，222-225.
[7] Locatelli A，Consonni S，Ghidini A. Preterm labor：approach to decreasing compications of prematurity [J]. Obste Gynecol Clin North Am，2015，42（2）：255-274.
[8] Yigit MB，Kowalski WJ，Hutchon DJ，et al. Transition from fetal to neonatal circulation：Modeling the effect of umbilical cord lamping [J]. J Biomech，2015，48（9）：1662-1670.
[9] Andersson O，Hellstr（o）m-Westas L，Andersson D，等.晚断脐和早断脐对新生儿结局和4月龄时铁营养状况影响的随机对照研究[J].中华预防医学杂志，2012，46（4）：319.
[10] Polglase GR，Dawson JA，Kluckow M，et al. Ventilation Onset prior to Umbilical Cord Clamping （Physiological-based Cord Clamping） Improves Systemic and Cerebral Oxygenation in Preterm Lambs [J]. PLoS One，2015，10（2）：e0117504.
[11] 丁蕾.晚断脐对产妇和新生儿影响的观察和研究[J].实用妇科内分泌杂志，2016，3（20）：37-38.
[12] Mercer JS，Vohr BR，Erickson-Owens DA，et al. Seven month developmental outcomes of very low birth weight infants enrolled in a randomized controlled trial of delayed versus immediate cord clamping [J]. J Perinatology，2010，30（1）：11-16.
[13] 陈霞.侧卧位配合单手保护会阴法和晚断脐与常规平卧位双手接生法在第二产程中的比较[J].微量元素与健康研究，2015，32（1）：19-20.
[14] 黄建辉，袁秋影.新生儿晚断脐联合自然干燥法的护理效果[J].护理学报，2014，21（9）：42-44.
[15] 李秀花，史晓红，郭梅.晚断脐加有控性脐带牵拉管理第三产程的研究[J].护理学杂志，2016，31（12）：32-33.
[16] 谷玉红，黄丽霞，张彦敏，等.剖宫产术中晚断脐对母儿预后的影响[J].河北医药，2017，39（13）：1959-1961.
[17] 朱琳，杨碧霞，何惠言，等.晚断脐与新生儿血氧含量变化[J].中国医药科学，2017，7（4）：109-111.
[18] 徐建平.剖宫产近胎盘端延迟30 s断脐对新生儿影响的护理研究[J].护理与康复，2015，14（11）：1031-1033.
[19] 张亚娟，田秀英，郑军，等.胎龄及娩出方式对新生儿生后脉搏血氧饱和度的影响[J].中华围产医学杂志，2015， 18（9）：666-669.
[20] 戴淑艳，金雪静，祁慧娇，等.不同断脐时间对新生儿预后的影响[J].现代实用医学，2014，26（1）：69-71.
[21] Khan KS，Wojdyla D，Say L，et al. WHO analysis of cause of maternal death：a systematic review [J]. Lancet，2006，367（9516）：1066-1074.
[22] Narendra A，Siobhan MH，Aitchison TC，et al. Infants blood volume in a controlled trial of placental transfusion at preterm delivery [J]. Pediatrics，2006，117（1）：93-98.
[23] Rabe H，Diaz-Rossello JL，Duley L，et al. Effect of timing of um-bilical cord clamping and other strategies to influence placental trans-fusion at preterm birth on maternal and infant outcomes [J]. Co-chrane Database Syst Rev，2012，15（8）：CD003248.
[24] Vain NE，Satragno DS，Gorenstein AN，et al. Effect of gravity on volume of placental transfusion：a multicentre，randomized，non-inferiority trial [J]. Lancet，2014，384（9939）：235-240.
[25] Mecrce JS，Ericson-Owens DA. Is it time to rethink cord management when resuscitation is needed? [J]. J Midwifery Womens Health，2014，59（6）：635-644.
[26] 张惠欣，张月琴，张晓丽.晚断脐对早产儿的影响[J].中国妇幼保健，2017，32（1）：198-200.
[27] Crossley KJ，Allison BJ，Polglase GR，et al. Dynamic changes in the direction of blood flow through the ductus arteriosus at birth [J]. J Physiology，2009，587（19）：4695-4704.
[28] Merce JS，McGrath MM，Hensman A，et al. Immediate and delayed cord clamping in infants born between 24 and 32 weeks：a pilot randomized controlled trial [J]. J Perinatol，2003，23（6）：466-472.
[29] Aladangady N，McHugh S，Aitchison TC，et al. Infants’blood volume in a controlled trial of placental transfusion at preterm delivery [J]. Pediatrics，2006，117（1）：93-98.
2018, Vol. 15 
京公网安备 11010502046598号